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Percutaneous management of bile-plug syndrome: a case report
Levent Duman1, Behçet Ilker Büyükyavuz, Mustafa Akcam
1Department of Pediatric Surgery, Süleyman Demirel University Medical School, Isparta, Turkey. leduman@gmail.com
Insights
Bile-plug syndrome, a correctable cause of infant obstructive jaundice, can be treated with minimally invasive percutaneous biliary interventions. This approach offers a potential alternative to surgery for infants with this condition.
Area of Science:
- Pediatric Gastroenterology
- Interventional Radiology
- Neonatal Surgery
Background:
- Bile-plug syndrome is an obstruction of the common bile duct by bile sludge in infants.
- It is a treatable cause of obstructive jaundice in neonates and infants.
- Surgical intervention is the traditional treatment for bile-plug syndrome.
Observation:
- A 5-month-old infant presented with symptoms of bile-plug syndrome.
- The infant's condition involved obstruction of the common bile duct due to bile sludge.
- This case highlights a specific instance of the syndrome in a young child.
Findings:
- Percutaneous biliary interventions were successfully employed to treat the infant's bile-plug syndrome.
- This represents the first reported instance of percutaneous treatment for bile-plug syndrome in an infant.
- The minimally invasive procedure effectively resolved the bile duct obstruction.
Implications:
- Percutaneous biliary interventions may serve as a viable, less invasive alternative to surgery for infants with bile-plug syndrome.
- This approach could potentially reduce recovery times and complications associated with traditional surgical methods.
- Further research into percutaneous techniques for pediatric bile duct obstruction is warranted.
Abstract:
Bile-plug syndrome is defined as an obstruction of the common bile duct by bile sludge in full-term infants. It is a correctable cause of obstructive jaundice in infants and is generally treated surgically. Here, we present a case of a 5-month-old infant with bile-plug syndrome, which was treated by percutaneous biliary interventions. To the best of our knowledge, percutaneous treatment of bile-plug syndrome is reported for the first time in an infant. This minimal invasive treatment modality may be a useful alternative to surgery in infants with bile-plug syndrome.
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